| NPI | 1700048824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA IRENE ROUGHT Owner 949-751-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 2975) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 2975) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2011-09-06 |